Individual
JUDY KRIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2215 S 6TH ST, BRAINERD, MN 56401-5549
(218) 454-3269
(218) 454-3151
Mailing address
2215 6TH ST S, BRAINERD, MN 56401-5549
(218) 454-3269
(218) 454-3151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303484
MN
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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